Mcdonald, Siri D

Mcdonald, Siri D is an individual health care provider with primary practice located at 102 Heritage Way Ne Ste 302 , Leesburg VA 20176-4544. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mcdonald, Siri D can be contacted via phone (703) 771-5963.

Contact Information

Primary practice address
102 Heritage Way Ne Ste 302 Leesburg VA 20176-4544
Phone: (703) 771-5963
Fax: (703) 777-0170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701004640 Virginia

Profile Details

NPI number 1548379423
LBN Legal business name Mcdonald, Siri D
Credentials MA, LPC, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 16th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548379423 NPPES
Virginia Other MSC # 77A MAILSTOP-EMPLOYER ID
Virginia Other 503 MAILSTOP-EMPLOYER ID

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